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Standard Medical History Statement

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The Standard Medical History Statement is to be used when evidence of insurability is required. Online or printable PDF options are available:

The Standard's Medical History Online Application

By completing your Medical History Statement online, determinations are made much faster, if not automatically.  Please allow between 10 to 30 minutes to fill out the application - depending on your health history.

You may choose to print The Standard's Medical History Statement and mail it to The Standard. The Group Number for the form is 604201.  Note that a decision may take up to 90 days when an application is submitted by paper.

Missouri State Employees' Retirement System
Address: 907 Wildwood Dr., Jefferson City, MO 65102 Phone: 800.827.1063 URL: Email: Founded On: September 1, 1957